WILLIAM HENRY DETAR DO
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1497311435- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 1000 RUSH DR, SALIDA, CO, 812019627
- Phone
- (719) 530-2200
- Fax
- (719) 539-5068
Specialties & Taxonomies
Otolaryngology
License: CO #DR.0074386
General Practice
License: ID #O-1494
Otolaryngology
Primary License: ID #O-1494